A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm. Contractions are frequent, and mild to moderate in intensity. Cephalopelvic disproportion (CPD) has been ruled out
After giving the mother some sedation so she can rest, the nurse would anticipate preparing for: 1. Oxytocin induction of labor.
2. Amnioinfusion.
3. Increased intravenous infusion.
4. Cesarean section.
1
Rationale 1: Hypertonic labor patterns result in frequent ineffectual contractions that exhaust the mother. Sedation is used to let the mother rest and stop the ineffective contractions. If sedation does not stop the ineffective contractions, oxytocin may be used to establish more effective contractions.
Rationale 2: Amnioinfusion would not change the ineffective labor pattern.
Rationale 3: Increasing the IV infusion would not change the ineffective labor pattern.
Rationale 4: Because CPD has been ruled out, a cesarean section is not anticipated.
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